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Primitive abscess of the great epiploon: clinical case and literature review
M Snen1, P Gossart, M Vandecaseyn
1Department of General and Digestive Surgery, RHMS la Madeleine, Ath, Université libre de bruxelles. msnen@ulb.ac.be
Background:
The primitive abscess of the great epiploon often poses a pre-operative diagnosis problem. The clinical picture associates an abdominal pain and an inflammatory syndrome.
Methods:
The diagnosis is essentially based on the imaging data and the exploratory laparoscopy. The treatment consists in performing a drainage of the abscess and an epiploic resection "on demand" preserving healthy tissues, as well as giving antibiotics.
Results:
The patient has been treated successfully by coelioscopy and a partial epiploic resection was performed with uncomplicated post-operative outcome.
Conclusions:
The primitive abscess of the great epiploon remains a rare pathology of uncertain etiology. The coelioscopy is the best method to rectify or to comfirm pre-operative diagnosis and to perform treatment avoiding the inconveniences of the laparotomy.
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